Best current book or resource for the surgical shelf and clerkship? Advice?

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bravomavo

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I am going to be starting my surgical clerkship and plan on going into surgery. My USMLE step 1 was 236. I am almost finished with MS2 and surgery is my first clerkship of MS3. I feel like I HAVE to honor it because that is what everyone is telling me I need to do if I want to do surgery. Any advice on what the best resource is to use? Book? Question-bank? And any general advice on how to honor surgery. Thank you in advance!

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I used deVirgilio's Surgery: A Case Based Clinical Review ( Amazon product ASIN 1493917250 ) It was the only thing I used for my surgery rotation and I honored the rotation and scored > 90% on the shelf. It has about 300 questions with in-depth explanations in the back of the book too. I am not the best taker (USMLE step 1 was around 230) but I think the book gave me all the answers I needed for the shelf and most of my pimping sessions. It is also the new so everything is up to date. As far as the rotation goes, the best way to honor the rotation is to be likeable. You do not have to be a genius and you do not have to tie knots like an attending. I went to work everyday with the intention of helping out the team and that is what I did. I wrote notes for my patients without being told to. I asked to pick up more patients. I offered to do a presentation on something the residents wanted to learn about. And as the rotation went on they let me do more in the OR. The people that did not honor the rotation were the ones that would skip out on all the clinical duties to go study. GL.
 
I used NMS Surgery Casebook for shelf studying - affectionately known as "The Red Book" at my school. UWorld questions are OK, but the casebook is better. Long, but in depth and not too bad of a read.
 
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I liked Pestana as a starting point - fast and easy to read, plus it (IIRC) gave an overview of important operations in fields that were tested but that we didn't rotate in as 3rd years on surgery: ENT, ortho, neuro, urology, ophtho. You'll need to do more in-depth reading to crush the shelf but I think this is a good start.
 
There's a few things you can depending on how much time you have to study and your dedication.

Must study:
-Pestana book (it's a small blue book that can fit in your white coat). Buy it off amazon. There were questions that came directly from this book. I felt like they were writing questions out of here. It's incredible stuff. You can add to this with pestana's notes found online (idk where 😉) and pestana's videos (idk where you get these lol). The notes have a lot of info to add to to it, but it's not necessary and there are some outdated stuff in there in comparison with the book.

-Uworld: Obviously do all of the surgery content. However, this focuses a lot on trauma/msk stuff, which will be on the exam, but there is a ton of questions from the IM sections of uworld too. Do high yield IM sections such as GI (big time), electrolytes. Those are the 2 big ones. There's other stuff that I did from uworld per the clinical rotations section on SDN. I forgot which other IM sections are good but those are the 2 big ones. I did the surgery section and the incorrects, then I just went ham on IM stuff.

Good book, not necessary:
-NMS casebook: It's pretty good, but I feel like some info is outdated and it's a lot more long-winded than pestana. I feel like in 3rd year I've had trouble using this stuff because it's textbook format and I couldn't read anymore. Don't do this source if you won't have time to get to the above 2. If you want to do surgery, you need honors, you have the time and dedication do this with the sources above, and you will honor if you're good at these tests. I used all 3 of these sources and honored the rotation. Other factors that play a role in honoring the shelf is whether or not you've had IM and other rotations before this to build the repertoire of knowledge that is tested. But honestly don't be scared by that. If you do the above stuff you CAN honor (if you typically can honor stuff). Just as a disclaimer, my school had some lectures and a textbook they gave us that I watched and skimmed through, respectively. However, I studied my ass off and could really identify which sources were most helpful.

On SDN, these 3 resources are mentioned the most. People will throw random textbooks in the mix, but honestly I'd avoid playing around with other sources. Who has time to waste on a resource that could end up being ****ty?

General advice: You don't HAVE to honor surgery to do GENERAL surgery. I have a lot of friends who did surgery without honoring it. They had ~ your step 1 too. Be well-liked, work hard, get good LOR and you'll be fine regardless. Honoring surgery will help a lot though, so do your best. Clinical honors works different at every school so I cannot really comment on that. Read about cases the next day, relevant anatomy, that one book everyone uses, is it surgery recall or some ****? It's a book that will tell you pimp questions for each case. All those things help. Don't complain the typical stuff.

Good luck.
 
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Ditto some comments above: do all medicine and surgery UWorld questions and read all of Pestana's and know the answer to all the practice questions at the end.
 
Ditto some comments above: do all medicine and surgery UWorld questions and read all of Pestana's and know the answer to all the practice questions at the end.
I don't see why you shouldn't honor doing this.
 
I used deVirgilio's Surgery: A Case Based Clinical Review ( Amazon product ASIN 1493917250 ) It was the only thing I used for my surgery rotation and I honored the rotation and scored > 90% on the shelf. It has about 300 questions with in-depth explanations in the back of the book too. I am not the best taker (USMLE step 1 was around 230) but I think the book gave me all the answers I needed for the shelf and most of my pimping sessions. It is also the new so everything is up to date. As far as the rotation goes, the best way to honor the rotation is to be likeable. You do not have to be a genius and you do not have to tie knots like an attending. I went to work everyday with the intention of helping out the team and that is what I did. I wrote notes for my patients without being told to. I asked to pick up more patients. I offered to do a presentation on something the residents wanted to learn about. And as the rotation went on they let me do more in the OR. The people that did not honor the rotation were the ones that would skip out on all the clinical duties to go study. GL.

I agree. I used deVirgilio's surgery case based book and pestana's book and got a raw 96%. I thought the deVirgilio book was like an updated pestana and more complete. The questions were also money! The deVirgilio book has a lot of questions and it is more shelf-like. The pestana book has less questions which is great because you can finish the whole thing in one day. They are just quick punches - going over the highlights. Its definitely good to do but it shouldn't take you more than 1 day. I would save that for closer to your shelf exam. Use the deVirgilio book as your main resurce. NMS is like 8 years old now and it goes over stuff you dont need.
 
so I had to come back to this thread and contribute since this forum suggested the deVirgilio Surgery Case Based Clinical Review book. It was an AWESOME book. I got a 98th percentile on the shelf and honored the rotation. Multiple times on the shelf I remembered thinking "this answer was in the devirgilio book!" I also did a vascular and colorectal surgery rotation ... I got almost all my pimp questions right and it was like my residents asked me the same questions in the book so I knew all the answers. I think this book and particularly the questions in the back are ALL you need to do well on this rotation. I wish there was a similar book for every clerkship - third year would be a breeze. I also heard this book is the official book for UCLAs surgery clerkship.
 
so I had to come back to this thread and contribute since this forum suggested the deVirgilio Surgery Case Based Clinical Review book. It was an AWESOME book. I got a 98th percentile on the shelf and honored the rotation. Multiple times on the shelf I remembered thinking "this answer was in the devirgilio book!" I also did a vascular and colorectal surgery rotation ... I got almost all my pimp questions right and it was like my residents asked me the same questions in the book so I knew all the answers. I think this book and particularly the questions in the back are ALL you need to do well on this rotation. I wish there was a similar book for every clerkship - third year would be a breeze. I also heard this book is the official book for UCLAs surgery clerkship.

Did you feel the Virgilio book covered the necessary "non-surgery" IM topics? Since you were fairly fresh off Step 1 that probably helped too. I had Psych first now Surgery so Im beginning to worry if Ill have time to get thru as much material as these people suggest. My Surgery clerkship is pretty grueling since Im at a large L1 trauma center and weeks <80hrs are rare.
 
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Did you feel the Virgilio book covered the necessary "non-surgery" IM topics? Since you were fairly fresh off Step 1 that probably helped too. I had Psych first now Surgery so Im beginning to worry if Ill have time to get thru as much material as these people suggest. My Surgery clerkship is pretty grueling since Im at a large L1 trauma center and weeks <80hrs are rare.

If you read more of it the better you will do but pound for pound it is probably the best resource. 30 minutes spent reading this book or doing the questions in the back is >>>>>> than anything else you can do in my opinion. Good luck!
 
Pestana, but the PDF and not the actual book. I did only Pestana, no questions, and scored an 88% on the shelf. Best of all, it's free! 🙂

Pestana is great but is more of a quick review the day before the shelf. If you want substance you need something a bit more comprehensive. The deVirgilio book is money! trust
 
Pestana is great but is more of a quick review the day before the shelf. If you want substance you need something a bit more comprehensive. The deVirgilio book is money! trust

Agreed. Read Pestana the day/morning before the shelf, but work through deVirgilio throughout the rotation.
 
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